CountyCare
medical
Summary
CountyCare is a medical payer operating in Illinois. Claims route under payer ID 06541, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
06541Also seen as 11143, 3170, 7738, 9688, CTYCHP, CTYCR- Also known as
- Cook County Health, CountyCare Health Plan
- Service area
- IL
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for CountyCare?
- The payer ID for CountyCare is 06541. Alternate IDs seen across clearinghouses include 11143, 3170, 7738, 9688.
- Does CountyCare require ERA enrollment?
- Yes. CountyCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does CountyCare cover?
- CountyCare operates in IL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CountyCare offer?
- CountyCare covers medical.
- Can I submit claims to CountyCare electronically?
- Yes. CountyCare is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.